Entry fee: 50.00 dollars ($90 for 2-up) payable to GLMC
Mail to: GLMC, 1037 1st ave NE, Watertown, SD 57201
Rider Name:
________________________________________________
Passenger Name (if applicable):
_________________________________
Address:
______________________________________________
City, State &
Zip: ________________________________________
Email:
_______________________________________________
Phone: _______________________________________________
Date of Birth:
_______________________________________________
GLMC Rider#('s) (if
applicable): ______________________________________
Shirt Size: (Circle):
S, M, L, XL, 2XL, 3XL, 4XL
This is a Release. Read carefully before signing
I understand that this event
is a motorcycle rally. I understand that motorcycling is an inherently
dangerous activity, which should only be undertaken by competent, experienced
individuals. I further acknowledge that, during the course of the event, I will
almost certainly be subjecting myself to hazards above and beyond those faced
by ordinary motorcyclists. I agree to abide by all applicable traffic
regulations in the state(s) in which I ride. I accept full and complete responsibility
for my own safety during the rally. I acknowledge that motorcycling under
adverse road, light, weather, rider and traffic conditions is inherently
dangerous, and could result in injury or death. I hereby accept these risks,
which I might incur or which I may cause to another as a condition of
participation in the event, and hereby waive any and all claims I may have
against the event, its organizers, agents and sponsors as a result of my
participation in the event. I further agree to defend, indemnify and hold
harmless the event, its organizers, agents and sponsors from any claims made
against them by third parties as a result of my conduct during the event.
My signature below
indicates my acceptance of the release above:
Passenger (if applicable):
____________________________________